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PO 010 Statement - 2022 - 07

The document is a petition form that allows a petitioner to continue their statement onto an additional page if needed and certify that the information provided is true and correct.

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mom2asherlove
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47 views1 page

PO 010 Statement - 2022 - 07

The document is a petition form that allows a petitioner to continue their statement onto an additional page if needed and certify that the information provided is true and correct.

Uploaded by

mom2asherlove
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Statement (Continued) (Attach this page to your Petition)

(Continue on separate page if needed)


I certify under penalty of perjury under the laws of the state of Washington that all the
information provided in this petition and any attachments, is true and correct. [ ] I have
attached (number): ____ pages.

Signed at (City and State): Date:

Sign here Print name

RCW 7.105.105(3) Statement


(07/2022) p. 1 of 1
PO 010

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